VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 0964438
Sex: F
Age: 89
State: GA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports itchiness, redness, warmth, and swelling that extends from Left Deltoid (injection site) to left elbow.

Other Meds:

Current Illness:

ID: 0964439
Sex: F
Age: 40
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: headache, dizzy, Nausea; symptoms began with a headache about 4.5 hours after injection. increased throughout the afternoon/evening. Feeling ok 48 hours after injection

Other Meds: NPThyroid - 90 mg Prozac Amitriptyline - 25 mp

Current Illness: n/a

ID: 0964440
Sex: F
Age: 30
State: CO

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: ECG monitoring -1/13/21

Allergies: vicodin, lamicatal, flexiral, bee's, iodine, prednisone, epinephrine, bactrim,

Symptoms: Facial swelling, rash, difficulty breathing, tingling in face, tachycardia, dizziness, fever, Treatment: Epinephrine, clartitin, steroids

Other Meds: topomax, notryptiline, flovent, xopenex, singulair, xyzal

Current Illness: NA

ID: 0964441
Sex: F
Age: 25
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: HEADACHES OVER THE WEEKEND AFTER RECEIVING 2ND DOSE VACCINE

Other Meds: N/A

Current Illness: N/A

ID: 0964443
Sex: F
Age: 54
State: IL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Codeine sensitivity - Shell Fish allegories

Symptoms: Two hours after the injection both of my leg seized. The muscles so tight that I was unable to walk (like a spasm). There was no twitch the a muscular contraction that left me unable to walk properly (the left side seem to be the tightest side of by body) . I also had bilateral jaw pain (not sure if its was because I was in so much pain in the legs that I was clenching my teeth) I also had slight numbness on by left face and by the evening I had redness on my left cheek but it went away. My face still has a bit of muscle sensitivity (tingling sensation) near the mouth and jaw.

Other Meds: Prescribed med taking 3 days before injection (Hydrochlorothazide 12.5mg) but not taking on the day of or the day before injection. Multi Vitamin taken on the day of injection, Vitamin D taken on the day of injection , Vitamin B taken on

Current Illness: none

ID: 0964444
Sex: F
Age: 43
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen red, hot to touch, arm and neck pain ? resolved

Other Meds:

Current Illness:

ID: 0964445
Sex: F
Age: 27
State: IL

Vax Date: 01/16/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen and warm bump at injection side that developed into a large bright red, tender rash all over my deltoid

Other Meds:

Current Illness:

ID: 0964446
Sex: U
Age: 53
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "SM received second Pfizer dose of covid19 vaccination in right arm, lot EL1283 at approximately 1140. Remained in auditorium for 15 minutes. As SM was walking back to work location stated she had bilateral tingling in arms. SM returned to Vaccine Clinic and made contact with writer. SM escorted to alcove for additional monitoring. Upon further investigation SM stated she experienced itching in throat that was self limiting in initial 15 minutes. VS 1200 L arm BP 167/92, HR 90, SpO2 97% 1202 SM states improvement in bilateral arm tingling. 1205 L arm BP 139/90, HR 96, SpO2 98% 1207 SM states complete resolution of bilateral arm tingling. 1210 L arm BP 144/91, HR 96, 99% SpO2 1215 ambulated with SM. No return of symptoms. SM returned to work.

Other Meds:

Current Illness:

ID: 0964447
Sex: F
Age: 44
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme swollen lymph node to lt axilla, approximately size of a baseball. Chills and significant fatigue.

Other Meds: None

Current Illness: None

ID: 0964449
Sex: F
Age: 43
State: NC

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: NKA

Symptoms: 1125-EE recieves vaccine 1135-EE reports numbness to hands 1140-EE given snack and water and observed 1150-EE reporting a complete resolution of symptoms 1215-EE departs vaccine clinic

Other Meds: None

Current Illness: N/A

ID: 0964451
Sex: F
Age: 50
State: VA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Bee venom allergy, alpha gal allergy

Symptoms: The clinent reported that one week after being vaccinated the injection site became red, hot to the touch, sore, and swollen. She also reported rhinorrhea.

Other Meds:

Current Illness:

ID: 0964452
Sex: F
Age: 52
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, shellfish

Symptoms: Employee started feeling very anxious and light headed. She was evaluated by EMT. She was tachycardic and hypertensive but was severely anxious as she has a lot going on in life right now and has been anxious all day. EMT offered to drive her to the hospital but she refused and thinks it is due to anxiety. Employee was told if she still feels heart rate and blood pressure are high later today she should call primary care doctor or go to hospital. She left after about 45 mins of being evaluated feeling better but still anxious. Heart rate 119 and blood pressure 150/90.

Other Meds: Prevacid, benadryl (prevacid taken on a regular basis and benadryl just taken today prior to vaccination)

Current Illness: No illnesses

ID: 0964453
Sex: F
Age: 47
State: IL

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: On day 8 after injection, site of injection became swollen, warm, tender and itchy. Redness became worse overnight and continues to spread down my arm on day 9. Started on Keflex on day 9. On day 10, redness continues to spread and site still hard, warm and tender.

Other Meds: Zoloft, Xanax, Relpax, Aimovig, Mirena, Vit D

Current Illness: none

ID: 0964454
Sex: F
Age: 27
State: NY

Vax Date: 01/07/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Patient referred to Urgent Care

Allergies: None

Symptoms: Patient received the vaccine on 1/7/21 Developed a 6 inch long in width and diameter rash around the injection site on 1/21/21 that is now hot to touch

Other Meds: Nexplanon

Current Illness: none

ID: 0964455
Sex: F
Age: 58
State: OK

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Morning after vaccination noticed rash of small red areas and blisters on bilateral upper arms. Thursday rash had spread to legs, back, and neck. Pruritic rash that is tender to touch. Diarrhea began Thursday, 4-5 episodes in 1 day. Fatigue also began Thursday. Has tried 25mg benadryl on Wednesday and Thursday with no relief. No fever.

Other Meds: amitriptyline 50mg PO daily. Atorvastatin 20mg PO daily. Gabapentin 300mg TID. Humalog mix 75/25 30 units BID. Lisinopril 10mg PO daily. Metformin 1000mg BID. Risperidone 2mg PO daily.

Current Illness: none

ID: 0964456
Sex: M
Age: 31
State: OH

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Will pursue seeking consultation with a primary care physician. Previously had some chest pain with running when recovering from COVID in October, but now symptoms are present with very light activity such as talking or walking for more than 10 minutes (previously running over 20 miles without issue and no previous history of chest pain).

Allergies: Penicillin

Symptoms: Moderna COVID-19 Vaccine EUA Fever, Headache, Chills, body convulsions, delirium, confusion, severe fatigue, dyspnea on exertion. Symptoms persisted for about 30 hours. Following recovery of acute symptoms, persistent chest pain is present and is worsened with exertion. Mild soreness is present at the injection site over 1 week later, but is mild and has no significant erythema indicative of allergic response.

Other Meds: None

Current Illness: None, previous illness was confirmed COVID in late October 2020 (approximately 90 days prior to vaccination).

ID: 0964458
Sex: F
Age: 34
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After my first vaccine, I noticed I was feeling very loopy, almost as if I was drunk. Dizziness and GI upset. I have since been having GI issues and have been extremely lethargic.

Other Meds:

Current Illness:

ID: 0964459
Sex: F
Age: 61
State: WI

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Sulfa, azythromycin, hives and itching one time with some type of anesthesia

Symptoms: Swollen, red, itchy, hives at and around injection site and hives go down my arm toward my elbow. I called Bellin Hospital a nurse called me back. She suggested benadryl and hydrochortisone. She advised if anything changed or if the itching got too bad to call them back.

Other Meds: None

Current Illness: none

ID: 0964460
Sex: M
Age: 73
State: FL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: January 16, 2021 CT scan, blood work and xrays January 17, 2021 MRI - showed the stroke

Allergies:

Symptoms: Sometime within 12 hours from receiving vaccine he had a stroke. He was taken to the emergency room on January 16, 2021 and tests were performed and he was transferred to Hospital on January 17, 2021. A MRI was performed on January 17, 2021 and showed that he had suffered a stroke. He was put on blood thinners and sent home on January 18, 2021. He had an appointment with MD on January 19, 2021. He has appointments with speech therapist, cardiologist and neurologist.

Other Meds:

Current Illness:

ID: 0964461
Sex: F
Age: 41
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Vital signs

Allergies: No Known Allergies

Symptoms: Patient stated they felt hazy, and had chest pain 3/10, has asthma history. Used inhaled and after ~15 minutes patient stated he felt better and was discharged.

Other Meds:

Current Illness:

ID: 0964463
Sex: F
Age: 37
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12 hours - Slight Nausea 24 Hours - Moderate Nausea 24-36 hours - Moderate Chills/Aches By 36 hours I felt 100% normal again.

Other Meds:

Current Illness:

ID: 0964464
Sex: M
Age: 37
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: low grade fever, malaise, headache, fatigue

Other Meds:

Current Illness:

ID: 0964465
Sex: M
Age: 51
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Lactose intolerate

Symptoms: I received shot in left arm. I began getting sore in injection area which I expected. At around 630 in the evening, I began to feel a sharp pain going down my left arm from middle of shoulder to the hand. This especially happened when I raised my arm. I kept my left arm down to side trying to slowly move it during the day. I contact Hot line for Hospital and explained issues. They described certain reasons but said that I could take Motrin. I began taking Motrin every 4 hours. The next day I was able to raise arm about half way. The pain became a dull and aching from shoulder to hand. I continue to take Motrin.

Other Meds: None

Current Illness: None

ID: 0964466
Sex: M
Age: 40
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness in left arm. Person left under his own will after 10 minutes of further observation

Other Meds:

Current Illness:

ID: 0964467
Sex: F
Age: 74
State: DE

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Morphine Lidocaine

Symptoms: Chills, body aches, headache, low fever, nausea, vomiting, stomach pain

Other Meds: Synthroid Blood pressure meds

Current Illness:

ID: 0964468
Sex: F
Age: 52
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever/chills /body aches Fatigue /headache Feel like lightning goes throughout my body Muscles and bones extreme pain Extremely thirsty Couldn?t walk properly because of fatigue

Other Meds: Tylenol

Current Illness: None

ID: 0964469
Sex: F
Age: 46
State: TN

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Betadine; Sulpher drugs; Fish/Shellfish

Symptoms: Fever and chills for 3 days, injection site was swollen to the size of a baseball and was also bright red with heat emanating from the site for 5 days - still have a discolored area that looks like a bruise in the injection site, body aches and headache for 5 days - self treated with rest and tylenol and Benadryl

Other Meds: Multi-vitamin; Vitamin D; Zinc; Tums; and Protonix as needed

Current Illness: None - although I had Covid two months prior

ID: 0964470
Sex: F
Age: 76
State: TN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT RECEIVED 1ST DOSE OF MODERNA AT 9:10 AM. AT 940 SHE REPORTED TO THE MONITOR THAT SHE HAD A TINY SHARP PAIN TO LEFT SIDE OF CHEST THAT CAME AND LEFT QUICKLY. SHE STATES THIS PAIN HAPPENED 4 TIMES DURING HER MONITORING TIME. SHE STATES SHE HAS THIS TIME PAIN FROM TIME TO TIME. SHE STATES NO MORE PAIN AFTER THOSE 4 EPISODES.

Other Meds:

Current Illness:

ID: 0964471
Sex: F
Age: 38
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: I did get a COVID-19 test (PCR test) on 1/11/21 and received NEGATIVE result on 1/12/21

Allergies: PCN, Ceclor, Bactrim- break out in hives to all three antibiotics

Symptoms: Left arm pain began on Thurs. 1/7/21, approximately 30 minutes after vaccine. Severe headache and pain radiating to left side of neck began approximately 22 hours after vaccine (around 2pm on 1/8/21) and left arm pain worsened. On 1/9/21, unable to get out of bed-felt like I had been drugged- severe HA, fatigue, and left side of neck soreness. Felt slightly better on 1/10/21 and 1/11/21, however stil unable to get out of bed due to severe HA and fatigue. On morning of 1/12/21, fatigue relieved and severe HA relieved around 1pm. Since 1/12/21, Severe HA, left arm tightness and left neck soreness has continued intermittently. This is a HA I have never experienced before. Yesterday, on 1/21/21, I had a severe HA all day at work and when I went home, I had to lie down the rest of the day/evening d/t severe HA, fatigue and left neck tightness. I was unable to do daily chores and help my children with their homework. I also woke up this morning with the same severe HA and left neck soreness/tightness. I do feel this HA is from the vaccine as I have never experienced this type of HA prior to receiving the vaccine and I am not someone who gets HA's often. I know the vaccine was given too high, as I give vaccines often for my career, and I am wondering if that has anything to do with my neck pain. I did bleed a lot with the injection (do not think it went into my muscle) and am wondering if that has anything to do with my adverse reaction. I am fearful these severe HA's will continue and I am extremely hesitant to receive my second dose!

Other Meds: Vyvanse and Effexor

Current Illness: None

ID: 0964472
Sex: F
Age: 65
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Back pain worsened with fatigue, slight cough, nausea, loss of taste and headache.

Other Meds: none

Current Illness: Back pain

ID: 0964473
Sex: F
Age: 61
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Turmeric

Symptoms: Developed itch bump 1 week after 1st injection. Skin became crusty and peeled. Unsure if it just exacerbated my Skin condition

Other Meds: Vitamin C, Garlic, Zinc, Vitamin D3

Current Illness: none

ID: 0964474
Sex: M
Age: 28
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Pt reported itching at injection site the day after receiving the vaccination, did not initially notice a rash. Later that day he noticed an erythematous, micropapular, pruritic, blotchy rash in the flexural creases of bilateral elbows. Rash then spread to bilateral groin region and behind posterior aspect of left knee. Pt denies a history of eczema or psoriasis. No new hygiene products correlating with onset of rash. No other vaccinations around time of COVID-19 vaccination. No anaphylactic reaction. Has never had a reaction to any other vaccine in the past.

Other Meds: Protein powder after workout

Current Illness: None

ID: 0964476
Sex: F
Age: 25
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "staff member experienced hives and rash over 50% of body 30 hours post second dose of Pfizer vaccine Sought medical treatment and was prescribed dose of steroids."

Other Meds:

Current Illness:

ID: 0964477
Sex: M
Age: 26
State: NY

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: For first week after injection, only symptom was mild pain in the arm. After 7 days, injection site became very swollen, hard, itchy, red, and hot. Swelling and hardness went down after 2 days. Rash and occasional itching persists. It is now 13 days after the injection

Other Meds: Clarinex, topical hydrocortisone 1%

Current Illness: none

ID: 0964478
Sex: F
Age: 54
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Delayed reaction in day 7 itchiness, redness, swelling and hives due to scratching.

Other Meds: Sertraline

Current Illness: None

ID: 0964479
Sex: F
Age: 26
State: CT

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Swollen lymph node, limp at injection site, non irritating rash

Other Meds:

Current Illness:

ID: 0964480
Sex: F
Age: 68
State: GA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None needed as yet

Allergies: None

Symptoms: One week to the day after injection, developed injection site redness, itching and some "thickness" to the feel noted about 8 pm. Took 650 mg of Tylenol and applied a cold pack. On morning of Jan 22, applied cold pack again. Area affected after those twelve hours is approximately 7 cm by 4cm. Discomfort is minimal but no such reaction has ever occurred before with a vaccination.

Other Meds: Eszopiclone 2 mg, Atorvastatin 20 mg, multivitamin, calcium 1200 mg, Fish oil 2000 mg, D3 50 mcg X 2 a day, Co Q10 300 mg, Biotin 5000mcg

Current Illness: None

ID: 0964481
Sex: F
Age: 95
State: TX

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: shellfish; avocados

Symptoms: Patient skin around the injection site began to itch about 48 hours after her vaccination. She says it is a mild itch, but seems to have increased over time. The skin appears a bit red in that area, but seems to be relatively smooth.

Other Meds: amlodipine besylate, 2.5 mg; aspirin, 81 mg; levothyroxine, 88 mcg; losartan potassium, 100 mg; plus various dietary supplements

Current Illness: None

ID: 0964483
Sex: M
Age: 31
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/28 sx of runny nose and body aches. Missed work 12/29, set up for testing 1/3 (Negative test 1/6/21 - SC)

Other Meds:

Current Illness:

ID: 0964484
Sex: F
Age: 29
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Fever, body chills, body aches, nausea, fatigue, headache, 14 hours

Other Meds: Prozac, amitriptyline, gabapentin

Current Illness:

ID: 0964485
Sex: F
Age: 39
State: MI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: hives, swelling of upper lip, localized to one area. No SOB, no throat swelling. Observed for additional 20 minutes and 1 dose (12.5 mg) of Benadryl given. Some improvement noted. Patient advised to call 911 if symptoms worsen. Will need 30 minutes of observation for second dose.

Other Meds:

Current Illness:

ID: 0964486
Sex: M
Age: 35
State: MN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Body Aches, Chills, Fatigue

Other Meds: Fish Oil Probiotic Multivitamin Elderberry Glucosamine

Current Illness: None

ID: 0964487
Sex: F
Age: 26
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Acetaminophen, daptomycin

Symptoms: 26 y/o woman w/ no sig pmhx, c/o left sided facial numbness/tingling s/o covid vaccine. Pt states she received her vaccine at 3pm, approx 1-2 hrs later started to notice left sided lip numbness that radiated to her left ear and left side of head. No difficulty speaking, no facial heaviness, no changes in vision or hearing. No n/v, no fevers. No previous similar episodes. ED states low suspicion for any stroke, states may be an early bell's palsy vs a pre-rash zoster. Unlikely to be reaction to vaccine. Some slight improvement during ED stay.

Other Meds: No active medications

Current Illness: None

ID: 0964488
Sex: U
Age: 25
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "Staff member reported after having her first dose felt lightheaded. Vaccinator called for help. Staff member laid on the floor. Elevated legs. Was AO x3. Slowly sat staff member up and then stool. Staff member report ""feeling fine"". Transfer staff member to a cart to monitor. Vitals signs 1745 BP 109/71 HR 64 Ox 99 1750 BP 100/60 HR 87 Ox 99 1755 BP 109/70 HR 66 Ox 100 Patient reported feeling better. Waited for about 30 min.

Other Meds:

Current Illness:

ID: 0964489
Sex: F
Age: 37
State: WV

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SOB - Shortness of Breat requiring O2, Nausea, Syncopy, Dry Heaving Transported to the ER

Other Meds:

Current Illness:

ID: 0964490
Sex: F
Age: 36
State: FL

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: SMZ-TMP

Symptoms: Immediately after vaccine arm was Painful sore arm 1st 3 days. Soreness went away. After that my arm started feeling slightly itchy for a few days right when I had my shot. 1/21/21 arm swollen and itchy with a red rash. I took Benadryl and put cortisone on area.

Other Meds: Tylenol

Current Illness: None

ID: 0964492
Sex: F
Age: 35
State: AR

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: NO

Symptoms: fever, chills, body aches, injection site soreness

Other Meds: SYNTHROID, LEXAPRO

Current Illness: NO

ID: 0964493
Sex: F
Age: 34
State: MT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: Fever, Sweats, Chills, Headache, Nausea

Other Meds: Fluoxetine 10mg daily

Current Illness: GI Bug 1 week prior

ID: 0964494
Sex: F
Age: 64
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tingling, itching on the left arm, seen & cleared by EMS, B/P 153/103, P 86, O2 sat-99%

Other Meds:

Current Illness: history of COPD, breast cancer survivor

ID: 0964495
Sex: F
Age: 90
State: NC

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Seizure-like activity. Started on Keppra

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm